Revathi, A (2018) A study to assess the effectiveness of dick read method in reducing the aspects of labor pain perception during first stage of labor among primi gravida mothers in selected hospital at Tirunelveli District. Masters thesis, Nehru Nursing College, Vallioor.
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Abstract
A study to assess the effectiveness of Dick Read Method in reducing the aspects of labor pain perception during first stage of labor among Primi Gravida Mothers in selected hospital at Tirunelveli District. OBJECTIVES: 1. To assess the pretest and posttest level of labor pain perception during the first stage of labor among the primigravida mothers. 2. To evaluate the effectiveness of Dick Read Method in reducing the aspects of labor pain perception during first stage of labor among the PrimiGravida Mothers. 3. To find out the association between the aspects of labor pain perception during first stage of labor with their selected demographic variables among the PrimiGravida Mothers. HYPOTHESES: H1: There will be a significant reduction in posttest mean aspects of labor pain perception score during the first stage of labor among the primigravida mothers after practicing the Dick Read Method. H2: There will be a significant association between the aspects of level of labor pain perception during first stage of labor among the primigravida mothers with their selected demographic variables. Review was done to evaluate the effectiveness of Dick Read Method in reducing labour pain perception and selected demographic variables. The conceptual framework for this study was based on Fahy and Parratt Birth Territory theory. Research design for the study was time series research design. Convenient Sampling technique was used to select the sample and the sample size was 30. Pretest labour pain perception was assessed by likert scacle(pain threshold), FLACC (Face, Legs, Activity, Cry, Consolability) scale for pain tolerance and Visual Analogue scale (pain intensity). Then asked the mother to do Dick Read Method during each contraction. The investigator conducted the post test on 4 cm and 6 cm of cervical dilatation by using same tool. RESULTS: The results shows that the pretest mean value of pain threshold was 26.7and standard deviation score was 3.68. In posttest I pain threshold mean score was 13.2, standard deviation score was 2.49. In posttest II pain threshold mean score was 9.46, standard deviation score was 1.83. The obtained ‘t’ value of pretest and posttest I score was 22.5, posttest I and posttest II score was 8.9, pretest and posttest II score was 22.3, which was significant at 0.05 levels. Hence it was concluded that Dick Read Method was effective in increasing the level of pain threshold during first stage of labour among the primigravida mothers. The pretest mean pain tolerance score was 8, standard deviation was 0.81. In posttest I pain tolerance mean score was 3.76, standard deviation score was 0.91. In posttest II paintolerance mean score was 2.9, standard deviation score was 0.38.The obtained ‘t’ test for pretest and posttest I score was 19.91, posttest I and posttest II score was 5.06, pretest and posttest II score was 29.1, which was significant at 0.05 level. Hence the Dick Read Method was effective in increasing the level of pain tolerance during first stage of labour among the primigravida mothers. The pretest mean pain intensity score was 8.03 of the standard deviation was 0.77. In posttest I pain intensity mean score was 4.2, standard deviation score was 1.04. In posttest II pain intensity mean score was 3.06, standard deviation score was 0.34. The obtained ‘t’ test for pretest and posttest I score was 25.21, post test I and post test II score was 6.28, pre test and post test II score was 31.99, which was significant at 0.05 level. Hence the Dick Read Method was effective in decreasing the level of pain intensity during first stage of labour among the primigravida mothers. There was no significant association between the demographic variables, gestational variables and labour pain perception variables (Pain threshold, Pain tolerance and Pain intensity). CONCLUSION: As primigravida mothers has labour pain during first stage of labour, it is necessary to provide pharmacological and non-pharmacological interventions to reduce the labour pain perception. The findings of the study indicated that the dick read method was simple and effective intervention. Based on the findings of the study recommendations for future study are as follows: The study can be conducted on larger samples there by findings can be generalized. A comparative study can also be done between the effectiveness of various nonpharmacological measures to reducing labour pain perception.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.301621451 |
| Uncontrolled Keywords: | Dick Read Method, labor pain perception, first stage of labor, Primi Gravida Mothers, selected hospital, Tirunelveli District. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 30 Sep 2019 03:10 |
| Last Modified: | 05 Oct 2019 06:19 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11646 |
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